How to Find Maternal Depression and Relationship Disorders between Mothers and Children Early in a Community

如何在社区早期发现母亲抑郁症和母亲与孩子之间的关系障碍

基本信息

批准号：
14570321
负责人：
MORIOKA Yukiko
金额：
$ 1.47万
依托单位：
Yamagata University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

项目摘要

The objective of the present study is to provide useful basic information for the infant mental health professionals including midwives, public health nurses, child psychiatrists and clinical psychologists trying to provide concrete supports to mothers in child bearing. We recruited the subjects of pregnant women in a general hospital in a city located in the northern area of Japan. We administered longitudinal mental health surveys to the subjects in third trimester of pregnancy, one month after birth, four months after birth and on year after birth. Furthermore, we conducted home visit survey including video-recording to the subjects four months and one year after birth to evaluate mother-infant interactions and maternal emotional availability. The subjects of the home visit surveys were 63 mothers and their children. In the home visit surveys, we structured the setting of separation and reunion of mothers and infants referring to the procedure of the Strange Situation (Ainsworth, M. … More ). The evaluation of the video-recorded behaviors of the mothers and infants was conducted by nine infant mental health professionals using the modified Emotional Availability Scale. The original version of the Emotional Availability Scale was developed by Biringen, Z, Robison J.L. and Emde R.N. We modified the scale to adapt our research.We compared the mother-infant interactions and maternal emotional availability between the continuously depressed group (CDG) (n=12) and the non continuously depressed group (NCDG) (n=51). The mothers of the CDG were judged to be depressed both one month and four months after birth. As a result, the emotional expression of the mothers of CDG was significantly more negative and depressed than that of the mothers of NCDG. The quantity of talking of the mothers of CDG to their infants was significantly less and the communication of them was significantly less smooth. The emotional expression of the infants of CDG was also significantly more negative and depressed than that of the infants of NCDG. The infants of CDG presented significantly more frequent recurving than the infants of NCDG. From these results, it was suggested that the continuously depressed mother had many problems of their interaction with their children and their emotional availability to their children. Less

生产的目的是为包括助产士在内的婴儿精神卫生专业人员提供使用。出生后的几个月和出生后的一年。指代奇怪情况的分离和重新定位的设置（Ainswork，M。DM. D的行为是由九名婴儿卫生专业人员使用修改后的情感可用性量表进行的。情感量表的原始版本是由我们的Biringen开发的研究。我们的母亲交往和孕产妇的情感情绪可用性（cdg）（n = 12）和毫无疑问的深度群体（n = 51）。结果CDG的婴儿的阴性也更加负面，而NCDG的婴儿比那时NCDG的元素明显更频繁。他们的表情和情感上的可用性